NPIMap

Individual provider Active NPI

Srinivas Pathapati, MD

  • Gastroenterology Physician
  • Amarillo, TX
National Provider Identifier
1124025374
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
K9386 Issued in TX
Practice address
6833 Plum Creek Dr
Amarillo, TX 79124-1602
Phone
(806) 467-9820
Fax
(806) 468-8340
NPI assigned
Jul 1, 2005
Last updated
Aug 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X K9386 TX Primary

Addresses

Primary practice location

6833 Plum Creek Dr
Amarillo, TX 79124-1602

Mailing address

6833 Plum Creek Drive
Amarillo, TX 79124-1602
Phone (806) 467-9820

Other identifiers 4

IdentifierTypeStateIssuer
0066QVOtherTXBCBS PROVIDER GRP. NO
160272401MedicaidTX
00568UOtherTXMEDICARE GROUP PIN
8AJ983OtherTXBCBS PROVIDER NO.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IA, AR3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041222000199 TX Practitioner - Gastroenterology 4486647625 Reassigns benefits to 1 organization
I20241118000904 IA Practitioner - Gastroenterology 4486647625 Reassigns benefits to 1 organization
I20250115002979 AR Practitioner - Internal Medicine 4486647625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2200 Ada Ave
Suite 201
Conway, AR 72034-4984
Phone (501) 852-1360

4370 Medical Arts Dr
Suite 295
Flower Mound, TX 75028-1742
Phone (972) 691-3777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy249
Upper gastrointestinal (GI) endoscopy for acid reflux227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K9386TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Oct 1, 2019 Accepting new patients
Conway Regional Medical Center Inc CurrentSince Jan 1, 2025 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Current Accepting new patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Oct 1, 2019 Accepting new patients
Conway Regional Medical Center, Inc Gastroenterology CurrentSince Jan 1, 2025 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients
Mercy Clinics, Inc. CurrentSince Oct 28, 2024 Accepting new patients
Mercy Clinics, Inc Gastroenterology CurrentSince Oct 28, 2024 Accepting new patients
Conway Regional Medical Center, Inc. Current Accepting new patients
Wyatt Clinic, P.a. Past Accepting new patients

Locations

2200 Ada Ave
Ste 201
Conway, AR 72034
Phone (501) 852-1360

1601 NW 114th St
Ste 342
Clive, IA 50325
Phone (515) 222-7600

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

6833 Plum Creek Dr
Amarillo, TX 79124
Phone (806) 467-1895

4370 Medical Arts Dr
Ste 295
Flower Mound, TX 75028
Phone (972) 691-3777

601 S Main St
Keller, TX 76248
Phone (817) 741-4347

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

Interoperability endpoints

  • Direct secure messaging: spathapati3954167@direct.trinity-health.org
  • Direct secure messaging: spathapati84241@ahs.direct-ci.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1124025374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6833 PLUM CREEK DRIVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241602",
            "telephone_number": "806-467-9820",
            "fax_number": "806-467-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6833 PLUM CREEK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241602",
            "telephone_number": "806-467-9820",
            "fax_number": "806-468-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAPATI",
        "first_name": "SRINIVAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "K9386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER GRP. NO",
            "identifier": "0066QV",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160272401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "00568U",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NO.",
            "identifier": "8AJ983",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.